Ankle Fractures: Recovery Tips and Concerns for Athletes

Ankle fracture

Hello, Doctor.
I injured my left foot during a basketball game on December 13 when I landed awkwardly on one foot in an externally rotated position.
At the time, I didn't feel much pain and continued playing for about 30 seconds before leaving the game for treatment.
I then went to the emergency room at a municipal hospital since it was nighttime.
They told me that there were no fractures, but two days later, during a follow-up at the orthopedic clinic, I was diagnosed with fractures in both the talus and fibula.
The doctor recommended a short cast due to my weight (190 cm, 108 kg), as I might break a long cast and it would be inconvenient.
Instead, they suggested I use an air ankle brace, which I purchased immediately.

My question is, aside from showering and sleeping, should I wear the brace continuously when I get home from school, such as during meals, studying, and resting, or is it sufficient to wear it only when going out? Also, it has been 8 days since the injury, and I have noticed bruising on my toes and significant swelling on the outer side of my ankle where the bone protrudes.
Is it normal that I cannot achieve a 90-degree angle with my foot without the brace or external support? How long might it take for this condition to improve? The doctor mentioned approximately 6 weeks, but I have a standardized test two days before the 6-week mark.
Is there a chance I could wear shoes and walk by then?
Recently, the weather has turned colder, and I've been experiencing severe pain in the injured area, especially when standing with my foot hanging.
Could this be due to the weather (with recent low temperatures around 6 degrees Celsius)? I have a physical education practical exam on February 2, which includes repeated lateral steps, sit-ups, a 60-meter sprint, standing triple jump, and a 1600-meter run.
Will I be able to take this exam? Additionally, there is a basketball league resumption on February 25, which is a high-intensity competition.
Will I be able to participate in that?
I apologize for the numerous questions, but with several days until my next appointment and increasing pain, I am seeking your help.
Thank you for your assistance, Doctor.

Wuu, 10~19 year old female. Ask Date: 2023/12/21

Dr. Chen Bingze reply Surgery

1.
If you are just taking a shower, reading, or resting without any heavy lifting, you do not need to wear a brace.

2.
It is normal to still have bruising and swelling eight days after an injury.
I don't know if you have experienced a severe sprain before, but since there is a bone fracture, it indicates that the surrounding soft tissues are also severely injured.

3.
Have you heard the saying that it takes a hundred days for tendons and bones to heal? I believe it will take about three months for recovery, but since you are young, you may have a chance to heal faster.

4.
The pain you are experiencing is likely not related to the drop in temperature; it may be due to the change in position from lying down to standing up, causing blood to rush down, which can result in a sudden sharp pain.

5.
No one can predict how long your condition will take to heal.
However, with appropriate heat therapy and adequate nutritional supplementation, you should be able to enhance your recovery.

Reply Date: 2023/12/21

More Info

Ankle fractures, particularly those sustained during athletic activities like basketball, can be concerning for athletes due to the potential impact on performance and recovery. Based on your description, it seems you have sustained fractures in both the talus and fibula, which can lead to significant swelling, bruising, and pain, especially when attempting to move the ankle.

Recovery Tips
1. Immobilization and Protection: It is crucial to follow your doctor's advice regarding immobilization. Since you have been advised to use an air-cast ankle brace, it is generally recommended to wear it as much as possible, especially during the initial recovery phase. This includes when you are at home, not just when you go out. The brace helps stabilize the ankle, reduces swelling, and prevents further injury.

2. Rest and Elevation: Resting the injured ankle is vital. Elevating your foot above heart level can help reduce swelling. You should avoid putting weight on the injured ankle until your doctor advises it is safe to do so.

3. Ice Therapy: Applying ice to the swollen area can help manage pain and reduce inflammation. Make sure to do this for 15-20 minutes every few hours, especially in the first few days after the injury.

4. Gradual Mobility: After a few weeks, your doctor may recommend gentle range-of-motion exercises to prevent stiffness. However, this should be done under the guidance of a physical therapist or your physician to avoid exacerbating the injury.

5. Pain Management: If you experience increased pain, especially with changes in weather, it may be due to inflammation or sensitivity in the injured area. Over-the-counter pain relievers can help manage discomfort, but consult your doctor for recommendations tailored to your situation.

Timeline for Recovery
You mentioned that your doctor indicated a recovery period of about six weeks. This timeline can vary based on several factors, including the severity of the fractures, your overall health, and adherence to rehabilitation protocols. While some individuals may start to bear weight and wear shoes before the six-week mark, it is essential to listen to your body and follow your doctor's recommendations.

Concerns About Upcoming Events
Regarding your upcoming physical tests and basketball league, it is unlikely that you will be fully ready to participate in high-intensity activities like sprinting or jumping within six weeks post-injury, especially considering the nature of your fractures. Engaging in such activities too soon can lead to complications, including delayed healing or re-injury.

Psychological Aspects
Feeling anxious or fearful about your injury and recovery is entirely normal, especially as an athlete. Here are some strategies to help manage these feelings:
- Stay Informed: Understanding your injury and recovery process can alleviate some anxiety. Discuss your concerns with your healthcare provider to gain clarity on what to expect.

- Focus on What You Can Control: Concentrate on your rehabilitation exercises and maintaining a positive mindset. Setting small, achievable goals can help you feel more in control of your recovery.

- Seek Support: Talk to teammates, coaches, or a sports psychologist about your feelings. Sharing your concerns can provide emotional relief and practical advice.

- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your mental well-being during recovery.

In conclusion, while the recovery process from an ankle fracture can be challenging, adhering to medical advice, focusing on rehabilitation, and managing your mental health will significantly contribute to your overall recovery. Always consult with your healthcare provider before making any changes to your recovery plan or attempting to return to sports.

Similar Q&A

Ankle Fracture Recovery: Tips for Safe Return to Sports

Hello Doctor, I fractured my fibula during a basketball game and underwent surgery to have a plate inserted. It has been about 5 months since the surgery. The doctor informed me that I would be fully recovered in 6 months and able to withstand the intensity of competition. Due to...

Dr. Hong Ximing reply Orthopedics
Hello: After a lateral ankle fracture, five months post-surgery, the fracture should have healed. The rehabilitation intensity should be gradually increased. Most importantly, it is essential to avoid overexertion or re-injury, so wearing a brace is necessary. Hong Shiming

Effective Care and Recovery Tips for Ankle Sprains in Athletes

Two days ago, I sprained my ankle while jumping to shoot a basketball, and it has significantly affected my daily life. What care can I take to recover quickly? What condition should I be in before I can continue playing basketball? Thank you!

Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: Generally, I suggest the following points: 1. Rest is the most important aspect of recovery. 2. If necessary, use an elastic bandage or tape to stabilize the ankle at a 90-degree angle to prevent f...

Understanding Ankle and Fibula Fractures: Recovery and Rehabilitation Tips

1. It has been over a month since the injury, and although the cast has been removed and you have started practicing walking with crutches, the foot is still swollen. This swelling is likely due to inflammation and fluid accumulation as a result of the injury and surgery. It is c...

Dr. Lin Junliang reply Orthopedics
This user's question is more complex, as there are different surgical methods for the same fracture, and postoperative rehabilitation is also necessary. The swelling in the leg after surgery is due to poor blood circulation. As for other issues, it is best to visit an outpat...

Challenges in Recovery from Lateral Malleolus Fractures

In mid-August, I experienced severe ankle inversion, and my outer ankle had previously collided with a hard object. Although an X-ray at that time showed no fractures, recently in mid-November, after running and cycling, my ankle began to swell again. A follow-up X-ray revealed t...

Dr. Chen Bochen reply Orthopedics
If the fracture gap widens and does not heal properly, surgical reduction and fixation are recommended. For ligament injuries, ultrasound, MRI, and physical examination are needed to assist in diagnosis. Mild ligament injuries can be treated with ankle braces, prolotherapy inject...